Lifetree Clinic
NPI #1972860526 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1972860526
- Entity Type
- Organization
- Organization Name
- Lifetree Clinic
- Primary Specialty
- Acupuncturist
- Enumeration Date
- Apr 20, 2012
- Last Updated
- Apr 17, 2018
Practice Location
- Address
- 14585 GRAND AVE
- Address 2
- SUITE 206
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55306-5719
- Phone
- (952) 435-7349
Authorized Official
- Name
- KYU HONG TAE, L.AC.
- Title
- OWNER
- Phone
- (612) 723-2042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Adult Health — Adult Health |
| Acupuncturist |
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